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Michele Johnson
Massage Therapist in Roosevelt, New York
NPI 1063048007

Michele Johnson is a Massage Therapist based in Roosevelt, NY. Michele Johnson practices in Roosevelt, NY. The NPI Number for Michele Johnson is 1063048007 and holds a License No. (New York).

The current practice location address for Michele Johnson is 148 Elmwood Ave, Roosevelt, NY and can be reached out via phone at 516-652-7145 and via fax at 631-829-9198.

Location: 148 Elmwood Ave, Roosevelt, NY, 11575-1808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063048007
Provider Name
Michele Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
148 Elmwood Ave, Roosevelt, NY, 11575-1808
Phone Number
516-652-7145
Fax Number
631-829-9198
Provider Enumeration Date
03/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
148 Elmwood Ave
City
Roosevelt
State
New York
Zip
11575-1808
Phone Number
516-652-7145
Fax Number
631-829-9198
person
Provider Business Mailing Address Details
Address
148 Elmwood Ave
City
Roosevelt
State
New York
Zip
11575-1808
Phone Number
516-652-7145
Fax Number
631-829-9198
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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